The Waters of Shelbyville, LLC

835 Union Street · Shelbyville, TN · 37160 · 9316802300

96 certified beds For profit - Corporation Chain: Infinity Healthcare Consulting

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

RN staffing in the bottom 10% nationally

0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 65
Serious harm & abuse 20% 64
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 38
Context 5% 60

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.133.48 min · 4.1 strong
RN hours / resident-day0.290.55–0.75
Weekend hours / resident-day2.74≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)none

Inspection citations (15 in the current record)

  • Potential for harm · D November 29, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 11, 2024 · Quality of Life and Care

  • Potential for harm · D November 29, 2023 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected January 11, 2024 · Quality of Life and Care

  • Immediate jeopardy · J November 6, 2019

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 20, 2019 · Quality of Life and Care

  • Potential for harm · D November 6, 2019

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 9, 2019 · Resident Rights

  • Potential for harm · D November 6, 2019

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 9, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E November 6, 2019

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 9, 2019 · Nutrition and Dietary

  • Potential for harm · D December 5, 2018

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 15, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D December 5, 2018

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected January 15, 2019 · Quality of Life and Care

  • Potential for harm · D December 5, 2018

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected January 15, 2019 · Pharmacy Service

  • Actual harm · G December 6, 2017

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 3, 2018 · Quality of Life and Care

  • Potential for harm · D December 6, 2017

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 3, 2018 · Resident Rights

  • Potential for harm · D December 6, 2017

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 3, 2018 · Resident Assessment and Care Planning

  • Potential for harm · E December 6, 2017

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected January 3, 2018 · Nursing and Physician Services

  • Potential for harm · D December 6, 2017

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected January 3, 2018 · Pharmacy Service

  • Potential for harm · F December 6, 2017

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected January 3, 2018 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445171 · certified since January 11, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.